A nurse is collecting data from a school-age child who has celiac disease. Which of the following findings should the nurse expect? (Select all that apply.)

A. Prevent movement of the child's extremities is incorrect. Attempting to prevent movement during a tonic-clonic seizure is unsafe. The nurse should avoid restraining the child, as this can cause injury. The focus should be on ensuring safety during the seizure.

B. Administer magnesium sulfate to the child is incorrect. Magnesium sulfate is used for certain conditions, such as preeclampsia in pregnant women or seizures due to eclampsia, but it is not typically used to manage tonic-clonic seizures in children. Anticonvulsant medications or emergency interventions are more appropriate.

C. Put a tongue blade between the child's teeth is incorrect. Inserting a tongue blade or any object into the mouth during a seizure is dangerous, as it can lead to injury to the mouth, teeth, or airway. The nurse should not attempt to put anything in the child's mouth.

D. Place a folded blanket under the child's head is correct. The priority during a tonic-clonic seizure is to protect the child from injury. Placing a folded blanket or soft padding under the head helps prevent head trauma if the child falls to the ground during the seizure. The nurse should also ensure the environment is clear of sharp objects.

A. Apply elbow immobilizers to both arms is correct. Elbow immobilizers are used to prevent the infant from putting their hands to their mouth, which could disrupt the healing of the surgical site. This is a common practice following cleft palate surgery.

B. Offer a pacifier with glucose syrup is incorrect. Offering a pacifier with glucose syrup is not appropriate, as it could cause harm to the surgical site. The infant should not be allowed to suck on objects that could interfere with healing.

C. Gently cleanse the surgical site with sterile gauze is incorrect. The surgical site should not be cleansed immediately postoperatively unless directed by the provider. Typically, the area is left to heal undisturbed, and cleaning is done with specific guidelines.

D. Place the infant in a supine position is incorrect. While supine positioning is important for infants to prevent sudden infant death syndrome (SIDS), following cleft palate surgery, the infant may need to be placed in an upright position to avoid putting pressure on the surgical site and to reduce the risk of aspiration.